Preventive Medicine Associates
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Brookline, MA
NPI 1962451591 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1962451591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- PREVENTIVE MEDICINE ASSOCIATES
- Practice address
- 11 Kent St
Brookline, MA 02445-7901 - Phone
- (617) 383-6405
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Punyamurtula Kishore, M.D.
- Title
- Director
- Phone
- (617) 383-6567
Practitioners 87
-
Mary F Anderson, DO
-
Julieta B Austria, M.D.
-
David A Ballan, MD
-
Stephen M Bolio, PHD
-
Manu Bragg, NP
-
Peter A Buchanan, PA
-
Anna Marie Coulstring, ACNP-BC, PMHNP-BC,RN
-
Herbert K Ddungu, NP
-
Patricia Rose Falcao, MD,MPH,FACOG,FASAM
-
Sally J Farry, NP
-
Alan Fisch, MD
-
Gilbert R Fisch, M.D.
-
Dawn A Fraser, NP
-
Robert Alan Friedman, M.D.
-
Karen L Furia, LICSW
-
Stanley T Galas, NP
-
Donald Michael Green, M.D.
National Provider Directory
Locations
11 Kent St
Brookline, MA 02445
Phone (617) 383-6405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | Yes |
Addresses
Primary practice location
11 Kent St
Brookline, MA 02445-7901
Mailing address
11 Kent St
Brookline, MA 02445-7901
Phone (617) 383-6405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9772898 | Medicaid | MA |
Other providers in Brookline, MA
- Prescription Orthopedic and Sports Therapy
- Jay Press
- Lori B.G. Preston
- Preventive Medicine Associates
- Preventive Medicine Associates
- Joseph Prever
- Natalie Valentine Price
- Maris Prichett
- Sophia Prior
- Steven Louis Procopio
All providers in Brookline, MA · Addiction Medicine (Family Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.